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This study is a multicenter, open, and randomized clinical phase II exploratory study. The "pick the winner" study design is used to determine and select which chemotherapy drug (irinotecan vs. albumin plus paclitaxel) is more effective in the second-line treatment of advanced gastric cancer, and it is more hopeful to carry out the follow-up phase III study in the second-line treatment of advanced gastric cancer (karelizumab+chemotherapy vs. chemotherapy). The study plans to include 184 patients with advanced gastric cancer who have received first-line platinum+fluorouracil progression, randomly use albumin paclitaxel+carrelizumab or irinotecan+carrelizumab second-line therapy, and observe the objective effective rate (ORR), total survival time (OS), progression free survival time (PFS), treatment related adverse reactions, quality of life and other clinical indicators after receiving the above treatment, Then determine the second line scheme which is more advantageous.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A: Camrelizumab+Albumin-bound paclitaxel | Experimental | Camrelizumab 200mg d1, one cycle every 14 days on the first day; albumin binding paclitaxel: 100 mg/m2, one cycle every 28 days on the first, eighth and fifteenth days |
|
| B: Camrelizumab+Irinotecan | Experimental | Camrelizumab 200mg d1, the first day, every 14 days as a cycle Irinotecan: 180 mg/m2, the first day, every 14 days as a cycle |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Camrelizumab | Drug | 200mg d1, the first day, every 14 days as a cycle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate | CR+PR | up to 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival | Time from random start of treatment to death from any cause | From date of randomization until the date of date of death from any cause, assessed up to 24 months |
| Progression-free Survival |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ji Zhu | Contact | 0571-88128142 | leo.zhu@126.com | |
| Jinwen Shen | Contact | 0571-88128142 | shenjw2005@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Ji Zhu | Zhejiang Cancer Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| C000631724 | camrelizumab |
| D000068196 | Albumin-Bound Paclitaxel |
| D000077146 | Irinotecan |
| ID | Term |
|---|---|
| D017239 | Paclitaxel |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 |
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| Albumin-Bound Paclitaxel | Drug | 100 mg/m2, the 1st, 8th and 15th days, every 28 days as a cycle |
|
|
| Irinotecan | Drug | 180 mg/m2, the first day, every 14 days as a cycle |
|
|
Time from random start of treatment to death or tumor progression due to any reason
| From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months |
| Treatment related adverse reactions | Evaluation according to CTC 4.0 | 24 months |
| Quality of life assessment | according to EORTC C30 | 24 months |
| Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D000418 | Albumins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D002166 | Camptothecin |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |